| NPI | 1700238441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M STUTO Owner/Operator 402-972-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 4682) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |